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HomeMy WebLinkAbout10-10895 CITY OF.ZEPHYRHILLS // 5335 - 8TH STREET (813)780 -0020 10895 BUILDING PERMIT .U«...!>. t?4 :4rZ: ' # ,- eap, 3�:e°A°°R .b m.. x.. maa .. !: ° ' .4 : � Permit Number: 10895 Address: 3823 LACOSTE ST LT 140 Permit Type: ADDITION /ALTERATION ZEPHYRHILL FL Class of Work: ALUMINUM PACKAGE Township: Range: Book: Proposed Use: NOT APPLICABLE Lot(s): Block: Section: Square Feet: Subdivision: MAJESTIC OAKS Est. Value: Parcel Number: 24-26-21-0030-00000-1210 Improv. Cost: 15,079.00 k y, Date Issued: 9/08/2010 • Name: NHC FL115LLC Total Fees: 165.00 Address: 6991 E CAMELBACK RD STE B -310 Amount Paid: 165.00 SCOTTSDALE AZ 85251 -2493 Date Paid: 9/08/2010 Phone: (813)783 -7518 Work Desc: INSTALL SHED, CARPORT AND SUN ROOM 45 X 15.5 A . a, A ' ' 1 1 - e ., A 1 • IN 1.5.0! ,.x. =... F x 2 —1 —ll P FOOTER BOND DUCTS INSULATED SEWER MISC. ROUGH ELECTRIC LINTEL MISC MISC. 1ST ROUGH PLUMB PRE -METER INSULATION WALL MISC. DUCTS INSTALLED WATER MISC DRIVEWAY PRE -SLAB SHEATHING MISC. MISC. CONSTRUCTION POLE FRAME MISC. MISC. REINSPECTION FEES: Reinspection fees will comply with Florida Statute 553.80 (2)(c) when extra inspection trips are necessary due to any one of the following reasons: a) wrong address b) condemned work resulting from faulty construction c) repairs or corrections not made when inspections called d) work not ready for inspection when called e) permit not posted on job site f) plans not at job site g) work not accessible. NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county, and there may be additional permits required from other governmental entities such as water management, state agencies or federal agencies. The payment of inspection fees shall be made before any further permits will be issued to the person owning same "Warning to owner: Your failure to record a notice of commencement may result in your paying twice for improvements to your property. If you intend to obtain financing, consult with your lender or an attorney before recording your notice of commencement." i 1 , fii/d4- X.1 . ie.-- PO ' 4 1 - CONTRACTOR SIGNATURE • PERMIT OFFI FR PERMIT EXPIRES IN 6 MONTHS WITHOUT APPROVED INSPECTION CALL FOR INSPECTION — 8 HOUR NOTICE REQUIRED PROTECT CARD FROM WEATHER 813 -780 -0020 City of Zephyrhills Permit Application Fax -813-780-0021 Building Department 77 /1.(55- Date Received 1. 2-lb Phone Contact for Permitting fi3 7 -- S3/ V Owner's Name f? tPyll) 7di a- 1 y Owner Phone Number J3 bad —/ 9?-. Owner's Address J1.13 I.4.Cdde JiMei Owner Phone Number Fee Simple Titleholder Name Owner Phone Number Fee Simple Titleholder Address 1 , //_ ,�^- 1 JOB ADDRESS 3f _.3 L & f/e C• / LOT # SUBDIVISION flive - dial n -I PARCEL ID# W o•-4 - e?l 0000 - Odldd - dad EN (OBTAINED FROM PROPERTY TAX NOTICE) WORK PROPOSED NEW CONSTR ADD /ALT I I SIGN n MOVE I I DEMOLISH INSTALL REPAIR PROPOSED USE I I SFR I I COMM I I OTHER I I TYPE OF CONSTRUCTION I I BLOCK I 1 FRAME I I STEEL 1 1 OTHER 1 I DESCRIPTION OF WORK (.421( / ∎` Pao" 1- C " f BUILDING SIZE 7( ' X J .s' SQ FOOTAGE 4, 7.rd HEIGHT BUILDING $ /S' 079.0 VALUATION OF TOTAL CONSTRUCTION riti ELECTRICAL $ AMP SERVICE ri PROGRESS ENERGY Ii W.R.E.0 PASO PERMIT SERVICE kl PLUMBING $ (813) 788 -5314 FAX 1.896$247894 I 1 MECHANICAL $ VALUATION OF MECHANICAL INSTALLATION r� I GAS I I ROOFING I I SPECIALTY I OTHER V 1/ J C `/ S /Se FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA 1 IVES NO 0 -/^ BUILDER �/ /� COMPANY f ecA J7t)4 � . • t i 0 N SIGNATURE C�.. f REGISTERED I Y/ N 1 FEE CURRENT I Y/ N 1 Address Q /3y 1'-D /b1 km) .6/ Z ''- ft-l4 f ( • License # ELECTRICIAN COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address I I License # PLUMBER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT I Y/ N I Address License # MECHANICAL COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address ( License # OTHER COMPANY SIGNATURE REGISTERED I Y/ N I FEE CURRENT 1 Y/ N I Address License # RESIDENTIAL Attach (2) Plot Plans; (2) sets of Building Plans; (1) set of Energy Forms; R -O -W Permit for new construction, Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster; Site Work Permit for subdivisions /large projects COMMERCIAL Attach (3) complete sets of Building Plans plus a Life Safety Page; (1) set of Energy Forms. R -O -W Permit for new construction. Minimum ten (10) working days after submittal date. Required onsite, Construction Plans, Stormwater Plans w/ Silt Fence installed, Sanitary Facilities & 1 dumpster. Site Work Permit for all new projects. All commercial requirements must meet compliance SIGN PERMIT Attach (2) sets of Engineered Plans. * ** *PROPERTY SURVEY required for all NEW construction. Directions: Fill out application completely. Owner & Contractor sign back of application, notarized If over $2500, a Notice of Commencement is required. (A/C upgrades over $5000) ** Agent (for the contractor) or Power of Attorney (for the owner) would be someone with notarized letter from owner authorizing same OVER THE COUNTER PERMITTING (Front of Application Only) Reroofs Sewers Service Upgrades NC Fences (Plot/Survey /Footage) Driveways -Not over Counter if on public roadways..needs ROW NOTICE OF DEED RESTRICTIONS: The undersigned understands that this permit may be subject to ':d eed" restrictions" which may be more restrictive than County regulations. The undersigned assumes responsibility for compliance with any applicable deed restrictions. UNLICENSED CONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If the owner has hired a contractor or contractors to undertake work, they may be required to be licensed in accordance with state and local regulations. If the contractor is not licensed as required by law, both the owner and contractor may be cited for a misdemeanor violation under state law. If the owner or intended contractor are uncertain as to what licensing requirements may apply for the intended work, they are advised to contact the Pasco County Building Inspection Division — Licensing Section at 727 -847- 8009. Furthermore, if the owner has hired a contractor or contractors, he is advised to have the contractor(s) sign portions of the "contractor Block" of this application for which they will be responsible. If you, as the owner sign as the contractor, that may be an indication that he is not properly licensed and is not entitled to permitting privileges in Pasco County. TRANSPORTATION IMPACT /UTILITIES IMPACT AND RESOURCE RECOVERY FEES: The undersigned understands that Transportation Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of use in existing buildings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89 -07 and 90 -07, as amended. The undersigned also understands, that such fees, as may be due, will be identified at the time of permitting. It is further understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to receiving a "certificate of occupancy" or final power release. If the project does not involve a certificate of occupancy or final power release, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water /Sewer Impact fees are due, they must be paid prior to permit issuance in accordance with applicable Pasco County ordinances. CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law — Homeowner's Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone other than the "owner ", I certify that I have obtained a copy of the above described document and promise in good faith to deliver it to the "owner" prior to commencement. CONTRACTOR'S /OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has commenced prior to issuance of a permit and that all work will be performed to meet standards of all laws regulating construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to: - Department of Environmental Protection- Cypress Bayheads, Wetland Areas and Environmentally Sensitive Lands, Water/Wastewater Treatment. - Southwest Florida Water Management District - Wells, Cypress Bayheads, Wetland Areas, Altering Watercourses. - Army Corps of Engineers - Seawalls, Docks, Navigable Waterways. Department of Health & Rehabilitative Services /Environmental Health Unit - Wells, Wastewater Treatment, Septic Tanks. - US Environmental Protection Agency- Asbestos abatement. - Federal Aviation Authority- Runways. I understand that the following restrictions apply to the use of fill: - Use of fill is not allowed in Flood Zone "V" unless expressly permitted. - If the fill material is to be used in Flood Zone "A ", it is understood that a drainage plan addressing a "compensating volume" will be submitted at time of permitting which is prepared by a professional engineer licensed by the State of Florida. - If the fill material is to be used in Flood Zone "A" in connection with a permitted building using stem wall construction, I certify that fill will be used only to fill the area within the stem wall. - If fill material is to be used in any area, I certify that use of such fill will not adversely affect adjacent properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating the conditions of the building permit issued under the attached permit application, for lots less than one (1) acre which are elevated by fill, an engineered drainage plan is required. If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in this affidavit prior to commencing construction. I understand that a separate permit may be required for electrical work, plumbing, signs, wells, pools, air conditioning, gas, or other installations not specifically included in the application. A permit issued shall be construed to be a license to proceed with the work and not as authority to, violate, cancel, alter, or set aside any provisions of the technical codes, nor shall issuance of a permit prevent the Building Official from thereafter requiring a correction of errors in plans, construction or violations of any codes. Every permit issued shall become invalid unless the work authorized by such permit is commenced within six months of permit issuance, or if work authorized by the permit is suspended or abandoned for a period of six (6) months after the time the work is commenced. An extension may be requested, in writing, from the Building Official for a period not to exceed ninety (90) days and will demonstrate justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the job is considered abandoned. WARNING TWICE OWNER: YOUR FAILURE IF YOU INTEND TO OBTAIN FINANCING, ONSULT PAYING TIC FOR IMPROVEMEN TS TO YOUR PROPERTY. WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. FLORIDA JURAT (F.S. 117.03) 1 �� J/ 41-51040. i l� ,I 4 1 CONTRACTO OWNER OR AGENT Su bscribed and sworn tpr afrirmed),4efor m his JO # S scribed and s� m to (Qr/affir� ed) efore this ,30 WM by c , f Cle /5F Jy'4Ll o is /are personally known to me or has/hav produced identification. Who s /are personally known to me i has have produced as identification. ( Notary Public ;2���k% Notary Public ' :OTARY PUBLIC - STATE OF FLORIDA ommission dOTARY P! -STATE OF FLORIDA Commission No s ,..17› Suzanne Bahr Suzanne Bahr 1 Name of Notary typed, printed or.,- " O r es: NOV. 1 Name of Notary typed, pu ii 1011 #DD601 , ,.. ,. ATIArmc Botinivc �c` -- T. �u uC �: �;� Expires: NOV 1E, THRU ATLANTIC BONDING CO.. 1`, s°:i °74' i -41414' THAT PART OF EAST 80.00 FT OF NW1 /4 & THAT PART OF WEST 1/2 OF NE1 /4 OF SEC 24 LYING NORTH OF ZEPHYRHILLS BYPASS EAST AND LYING WEST OF MAJESTIC OAKS COMMUNITY -PHASE ONE AS PER PB 35 PGS 107 -112 EXC NORTH 20 FT THEREOF FOR RD R/W & MAJESTIC OAKS COMMUNITY PHASE ONE PB 35 PG 107 -112 LOT 1 THRU 16 INCL & LOTS 19 THRU 24 & LOTS 26 THRU 31 & LOTS 33 THRU 74 OR 6825 PG 87 111111111111111111111111111 111111111111111111111111111111111 NOTICE OF COMMENCEMENT 2010125459 Permit No. Rept:1323639 Ree: 10.00 DS: 0.00 IT: 0.00 09/01/10 C. Cook, Dpty Clerk Property Identification No. el"- a-6 —b2/-________:_o__"61 ..Gab /Od - &VD THE UNDERSIGNED hereby give informs you that the improvement will be made to certain real ro with Section 713.13 of the Florida Statutes, the following information is provided in this NOTICE OF COMMENCE accordance 1.Description of property (legal don. L,a- / Ye /! / a) Street Address: d G �� p h / (..rxe&.�! ley F�� 2. General description of improvements: f / ("ha, 1/4C[t..k._ ream ,L 824 acUeeve 3.Owner Information , a) Name and address: / 7tt,L �. 7-04 j t � fj t /, &4 / i ,/ dj -y- IX b) Name and address of fee simple titleholder (if o than owner) /+/.� c) Interest in property Contractor Information a) Name and addresSttjt f� 4l -. (4CSY � /7L ` _ , b) Telephone No.: '�-f� f z % � /`7 `' 5.Surety Information Fax No. (Opt.) a) Name and address: b) Amount of Bond: c) Telephone No.: Fax No. (Opt.) 6.Lender mx a} Name and address: m 7. Identity of person within the State of Florida deli Phone No. u a) Name and address: grated by owner upon whom notices or other documents maybe served: m b) Telephone No.: Fax No. (Opt) ii; F 8.In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 4:16' 713.13(1)(b), Florida Statutes: a) Name and address: 03 ; b) Telephone No.: Fax No. (Opt) F' 9.Expiration date of Notice of Commencement (the expiration date is one year from the date of recording unless a different date is 0 E specified): N I " 03 OD WARNING TO OWNER ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF . COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713, PART I, SECTION 713.13, FLORIDA STATUTES, AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. STATE OF FLORIDA COUNTY OF PASCO -•01/ ' 1 Signs of Owner or iers Auth. • -'Off • tor/Partner/Manager , ' 4 Print Name The forego' i g instr me this ument was acknowledged before /� Ak } n dit. , , as r day of � Lcrl t , 20 /0 , b in fact) for A ____ Je (name of party on behalf of who of authority, e.g. officer, trustee, attorney / nt was executed). Personally Known OR Produced Identification y Notary Signs QLe-:--- 1C/-- Type of Identification Produced PL / � 4 Name (print) L Verification 4,,.. P e liMatGBIM23 } d( . enalties of the facts states piggt18 Rig kitili'b1 3f0 F THE Di v � , penalties penury, I declare that I have read the foregoing and that Y het TRUE AND CORRECT COPY ON FILE OR OF PUBLIC RECORD IN THIS OFFICE ' `ORM8MpC j V'TNESS MY HAND s -„, D O�FICIA SEAL THIS '� ".' �' i _ DAY OF A 1... t 2 / . , , �'L+g +=`'� PAU S. O'NEIL, C RK & COMPTROLLER ,;, Stacie Hartwig ,, : Commission # DD9261 f� / Expires: OCT. 16 2013 BY 4/( / DEPUTY CLERK BoN .ANI7cBONDINa ca. 1NC. 09/07/2010 11:45 8137889519 SUN STATE ALUMINUM PAGE 02/02 Licensing Portal - License Search Page 1 of 1 114711 AM 911120f0 Data Contained in Search ReanIto Zs Currant As Of 09/01/2010 11:46 AM. Search Results Please see our eloseartr of term% for an explanation of the license statics shown In these search results. For additional inferMatien, including any complaints or discipline, dick on the narne. Type Name name License License lY(pe number/ status /kxplres Rank Certified Residential CORREIA, MARK PHILIP Primary CRCOS8517 Current, Active Contractor Cert Residental 08 /31/2012 main s 6154 FORT KJNG RD ZEPI1YRHI LS, R- 33542 411111110 411111110 Mitt Addrese - This address is the Primary Addres on fee. Mailing Address - This is the address Wham the mall associated nth a eardaitar Manna wa be seta Of 1IT u .& from Lire Main or license Location addre: M5). Liae'ee LACat on address - 7fds is the address where the Peace of business as ObrileallY located. I Terms of use 11 Privacy statement 1 httpsJ/' p► wwm yfloridalicense .com/w111.asp?mod r= N>3lme &SB>Ntbnrl =&types 9/7)2010 . . . . 39a3 4eas7 ., I . EMMA/ DATE _ I ITV OF ZEPHY ri 'ILL. S . 1 PLANS EXAMINER .c.:. 1 • ,, , i -- ciN 5 , 7/ s ,s, ., -. ...., , 1 ...) kiJ 1 • 1 I 1, \ ----- 1 6 I 1 6La I 4. I i 1 ..4.-- - --,.. - . _ 5 9 g,0.00' , , City of Zephyrhills BUILDING PLAN REVIEW COMMENTS Contractor/Homeowner: \ (1_,I S1 T ` Aryl/We/71 Date Received: Q— 2-/e Site: j_A7).4&ss4. Permit Type: 447 "ft-01 h'n 71('4 / W 4 /.s s Approved w /no comments: ftt Approved w /the below comments: El Denied w /the below comments: ❑ This comment sheet shall be kept with the permit and/or plans. l �`'t^ Oda. ''/ ) Kalvin S tzer P1 Examine Date Contractor and/or Homeowner (Required when comments are present) APPROVED PRODUCT LIST 2007/2009 NAME/DESCRIPTION MANUF. PROD. # 3" RISER PAN TOWN & COUNTRY FL 9334 3" COMPOSITE PANEL METALS U.S.A. FL 2291 VINYL SIDING & SOFFIT STYLECREST FL 12231 HARDIE BOARD SIDING JAMES HARDIE FL 10477 WOOD WALL FRAMING: SP1 & SP2, STRIP TIES, H SERIES SIMPSON FL 10456 CONCRETE ANCHOR TITAN FL 2355 WOOD DECKS: JOIST HANGERS SIMPSON FL 10531 POST BASE & CAP SIMPSON FL 10860 WINDOWS & DOORS: SEE ATTACHED iorida Building Code Online http : / /floridabuilding.org/pr /pr_ app_ dtl.aspx ?param= wGEVXQwtDgt... xh P� +Flsr 4 s '' .rte - •.w�tti i BAs i3z a S r fifty - X11; 1 � ; F;: � 1 c �c��e� -�+' L e ixL. a ., .. �, .rte. r,.. ,-w ... xa�a '`' ?.+id °'�� snr , �.2+_ 7, _.7c. 7 g In Use Registration Hot Topics Submit Surcharge Stats & Facts Publications FBC Staff BCIS Ste Map Links Search I P ? • Product Approval --= USER: Public User Community ,.y Affairs :_ „_�. Pfoduct Approval Menu > Product or Aoolication Search > Aoolicatbn Lst > AppGotion Detail FL # FL153 -R3 ^, Application Type Revision ; Code Version 2007 Application Status Approved Comments Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 MLaFevre @cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 • (352) 368 -6922 Ext 208 Ralph @cws.cc Category Windows Subcategory Horizontal Slider Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received CertlficateofIndependence FL153 R3 COI 510863 (HS Eng Eva' Repj.pdf Referenced Standard and Year (of Standard) Standard Year AAMA /WDMA 101/IS2/A440 -05 2005 ASTM E1300 -04 2004 of 2 3/3/2009 11:01 AM ?lorida Building Code Online http:// floridabuilding .org/pr /pr_app_dtl.aspx ?param= wGEVXQwtDgt... Equivalence of Product Standards Certified By Sections from the Code Product Approval Method Method 1 Option D Date Submitted 12/19/2008 Date Validated 01/07/2009 Date Pending FBC Approval 01/13/2009 Date Approved 02/03/2009 Summary of Products FL # Model, Number or Name Description 153.1 6200 XX Horizontal Sliding 6200 XX Horizontal Sliding Window Window Limits of Use Installation Instructions Approved for use in HVHZ: No FL153R3IICWS 171A LHS- 6200) .paf Approved for use outside HVHZ: Yes Verified By: Roberto Lomas 62514 Impact Resistant: No Created by Independent Third Party: Yes Design Pressure: +35/ -35 Evaluation Reports Other: 6200 Horizontal Sliding Window H5 -C35 72x72 rL153 (HS_6200 Eng 6 ai Created by Independent Third Party: Yes Badc Next DCA Administration Department of Community Affairs Florida Building Code Online Codes and Standards 2555 Shumard Oak Boulevard Tallahassee, Florida 32399 -2100 (850) 487 -1824, Fax (850) 414 -8436 2000 -2005 The State of Florida. 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Application Status Approved O FFICE OF THE Comments Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368-6922 Ext 207 MLaFevre©cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368-6922 Ext 208 Ralph @cws.cc Category Windows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who developed Roberto Lomas the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL163 R2 COI 510510A (Eng Eval Rep SH- 3500).odf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/I52 -97 1997 Equivalence of Product Standards Certified By Sections from the Code 1 of 2 3/4/2009 9:53 AM • - co 9. O V 2IP y' -nP • w *p 2> N 0 s re Z 5 F ° 0 m— 4 . 0.*_, D r- Y r* * m 0 mr+ D O g8 r $ 00 Y < ; c S g D w c oi Od >> -..��_ � Z > � y�xnn S a c Z;rn§, N 2 y g N S > ;0 ._ F m Z mi g g t 3 , Z mm z m T o mm p6 _9 -op Y 1 - - - - m mpy P. 0 m C m o g NS • X70070 A73 0 Y r r T <; p . I 4 - 0 88 n • m >, m Z_ - m p zm fs 6 X O -, g- m m* m Z m E � o y P ON m 5 Z = = mT M g> m g 1 Z,3 M s > m Z m < 0 I" -1 Ilf m Zg g 9 m ; y > m $ Z I V7 EH y ? 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Comments u�t;3 Archived Product Manufacturer Custom Window Systems, Inc. Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368 -6922 Ext 207 mlafevre @cws.cc Authorized Signature Michael LaFevre mlafevre @cws.cc Technical Representative Michael LaFevre ## Address /Phone /Email 1900 SW 44th Avenue Ocala, FL 34474 (352) 368 -6922 Ext 207 MLaFevre @cws.cc Quality Assurance Representative Ralph Emminger ## Address /Phone /Email 1900 SW 44th Avenue Custom Window Systems, Inc. Ocala, FL 34474 (352) 368 -6922 Ext 208 Ralph @cws.cc Category Exterior Doors Subcategory Swinging Exterior Door Assemblies Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer Evaluation Report - Hardcopy Received Florida Engineer or Architect Name who Roberto Lomas developed the Evaluation Report Florida License PE -62514 Quality Assurance Entity Keystone Certifications, Inc. Quality Assurance Contract Expiration Date 12/31/2010 Validated By Steven M. Urich, PE Validation Checklist - Hardcopy Received Certificate of Independence FL161 R3 COI 511038 (Eval Reo Guardian Door).pdf Referenced Standard and Year (of Standard) Standard Year ANSI /AAMA /WDMA 101/IS2 -97 1997 Equivalence of Product Standards http: // floridabuilding .org /pr /pr_app_dtl.aspx ?param= wGEVXQwtDgvyf4ngAXh 1045 csM... 6/11/2009 -mtoAO • 02 08 mm M• m 01 C m ,- > m O f' T71 -.4 o m o M m 2U- A - II a A . : i m v • M 41 a a [ m M z a o '` I . 1 g x Z 1' I 6N _ I n ill m m m 0 "-1 MI N T' O • m m Z a r O1 Am 9A W N m- 84 15 g s 28 r m o � O y p o x, c Z z 2 m 0 171 z En to i i a m Z ax EA c p C p rT , � m r „,m 0 -� n O -1 t r --- tom 0 O '", 01 -m a m s z �c d7 co A '" 4- c co m m Six i` to y m y M -4 m z m r w m M 70 O ' � FD m a _ ! i ? rW mi c m z 4 r" a ~ a ° w Yn o o 2 m Q «4 @� 4 lei rn m C M m-1 m m-- 2E1 ° z 2 m m .. ,;:. , @• . • . , j ‘ ,341 6 n m m N o m m w 404* s`.ti4 • •-, P 1 ',_� o• s g y p 4, x 2 z - m O r m v , . �- ,'t moo 7.°0‘',.. 03; 11 r 2 ' ' Z n z ZZ m Z 4.41 1 t. o' . 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